1. United States
2. Ariz.
3. Letter

I urge you to support a clean extension of the Affordable Care Act Premium Tax Credits before they expire at the end of 2025. The Congressional Budget Office projects that 4.2 million Americans will lose health coverage by 2034 without this extension, and premiums are expected to increase by 75% starting January 2026. Congress must act immediately to prevent this financial devastation. The 2021 American Rescue Plan Act increased these tax credits and made health insurance genuinely affordable for millions of families. These enhanced credits have been instrumental in expanding access to care, yet Republicans chose not to extend funding in their recent budget reconciliation bill. Every month of delay brings us closer to a crisis that will force families to choose between health coverage and other basic necessities. I specifically ask that you support only a clean extension of these tax credits without any restrictions on abortion care or gender affirming care. Healthcare decisions belong between patients and their doctors, not in legislative negotiations. Attaching ideological restrictions to this critical extension would harm vulnerable populations who already face barriers to care and would delay passage of urgently needed relief. The math is straightforward: without action, over 4 million people lose coverage and those who remain face premium increases of 75%. For families already struggling with inflation and rising costs, this would be catastrophic. These are your constituents who work, pay taxes, and contribute to our communities. They deserve affordable healthcare without political games. Time is running out. I ask you to publicly commit to supporting a clean extension of ACA Premium Tax Credits and to oppose any version that includes abortion or gender affirming care restrictions. Millions of Americans are counting on Congress to act before costs skyrocket and coverage becomes unaffordable.